Healthcare Provider Details

I. General information

NPI: 1689214785
Provider Name (Legal Business Name): BAYOU CITY HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24900 PITKIN RD STE 309
SPRING TX
77386-2004
US

IV. Provider business mailing address

24900 PITKIN RD STE 309
SPRING TX
77386-2004
US

V. Phone/Fax

Practice location:
  • Phone: 713-527-2727
  • Fax: 713-527-2728
Mailing address:
  • Phone: 713-527-2727
  • Fax: 713-527-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GLENN RICHARD SAMMONS
Title or Position: PRESIDENT
Credential:
Phone: 832-610-5461